Aetna hmo provider manual

This Provider Manual is to be used for HMO D-SNP plans only. The Medallion (including FAMIS) and CCC Plus (Coordinated Care Plus) Provider Manual can be found at www.doorway.ru Aetna provider identification number (PIN) Aetna Medicare health maintenance organization (HMO) plans and Aetna those contained in this manual. Visit. www.doorway.ru or our provider portal, www.doorway.ru, to find additional policies, procedures and information. laboratory providers. Visit www.doorway.ru to get a complete list of participating labs available in your area. Nonparticipating provider and special services request HMO-based products: (TTY: ) PPO-based products: MD-Aetna (TTY: ) or (TTY: ) Paper claims address for Aetna Aetna PO Box

A revised version of the Humana Provider Manual is now available and became effective on July 1, It was last updated in It's important for all contracted healthcare providers and administrators to review the new provider manual, as your participation agreement with the Humana or ChoiceCare network contains a compliance obligation with the provisions of the manual. Aetna provider identification number (PIN) Aetna Medicare health maintenance organization (HMO) plans and Aetna those contained in this manual. Visit. www.doorway.ru or our provider portal, www.doorway.ru, to find additional policies, procedures and information. Yes, in most plans. Aetna Medicare Advantage plans at a glance. Our HMO-POS plans. Requires you to use a provider network. Varies by plan. Seeing out-of-network providers generally costs more. But most allow non-network dental providers. Requires you to have a primary care physician (PCP) Yes, in many plans.

This Provider Manual is to be used for HMO D-SNP plans only. The Medallion (including FAMIS) and CCC Plus (Coordinated Care Plus) Provider Manual can be found at www.doorway.ru Learn about provider education and manuals from Aetna to get more information on free CME courses and Aetna policy guides. Delegation Provider Manual. This manual is a reference tool to help contracting delegates and their staff understand how to perform delegated functions to Aetna standards. Link to PDF. Delegation Provider Manual.